Please fill out the days and hours you are available to work.

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Agency Action

Girls Inc Contact:

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2nd Contact

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3rd Contact

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PLEASE READ THIS STATEMENT CAREFULLY

I hereby affirms that the information given by me on this application for employment is complete and accurate. I understand that any falsification or omission will be immediately grounds for dismissal. I authorize a thorough investigation to be made in connection with this application concerning my character, general reputation, employement, and education background, criminal record, whichever may be applicable. I have read and frrim as my own the above statements.